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Utilization Reviewer

Company: Brynn Marr Hospital
Location: Jacksonville
Posted on: January 5, 2020

Job Description:

Brynn Marr Hospital first opened its doors in 1983. For more than three decades, we have continually aspired to be a valued and trusted resource for behavioral healthcare in Eastern North Carolina. Our mission is to provide quality psychiatric and substance abuse treatment and services that former patients recommend to loved ones and physicians prefer for their patients.

POSITION SUMMARY

The Utilization Reviewer possesses the knowledge of psychiatric clinical diagnosis and the ability to articulate those indicators professionally. The Utilization Reviewer evaluates patient medical records to determine severity of patient s illness and the appropriateness of level of care, serves as liaison for patients and hospital with insurance companies, and negotiates and advocates for patient length of stay and level of care. The Utilization Reviewer has a working knowledge of all levels of care offered and appropriately manages patient benefits.

Work schedule is Monday - Friday 8am - 4:30pm and may include weekends and holidays as necessary.

Full Time benefits include:

Medical, Dental, Vision insurance options
Supplemental benefits (Life, STD, LTD, AD/D)
Voluntary benefits (legal plan, identity theft, pet insurance)
Employee Assistance Program
401k with matching
PTO

Job Requirements

MINIMAL QUALIFICATIONS

Education:

High School Graduate or Equivalent. Bachelor s degree in psychology, sociology, social work, human service or related field or graduate of accredited professional nursing school.

Experience:

Two years utilization reviewer experience preferred.

License:

If nurse, valid North Carolina or compact state RN licensure.

Physical requirements:

Sedentary Work Exerting up to 10 pounds of force occasionally or a negligible amount of force frequently to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Job may be defined as sedentary when walking and standing are required occasionally and all other sedentary criteria are met.

Grasping; Speaking; Hearing; Computer use; Visual acuity (color, depth perception, field of vision); Sitting

All employment at UHS is with one of the subsidiaries of Universal Health Services, Inc., including its management company, UHS of Delaware, Inc. Universal Health Services is a holding company.

UHS is an Equal Opportunity Employer and as such, openly supports and fully commits to recruitment, selection, placement, promotion and compensation of all individuals without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status or any other characteristic protected by federal, state or local laws.

Keywords: Brynn Marr Hospital, Jacksonville , Utilization Reviewer, Other , Jacksonville, North Carolina

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